Peripheral cellular transcriptional changes are associated with Alzheimer’s disease related phenotypes 2330291

X Xuan Chen X Xue Wang W Wei Tsai (Mayo Clinic) T Thuy Nguyen D Denise Reyes V Val Lowe R Ronald Petersen K Kejal Kantarci M Minerva Carrasquillo (Mayo Clinic) K Kwangsik Nho A Andrew Saykin (Indiana University School of Medicine) J Joseph Reddy (Mayo Clinic) M Mariet Allen N Nilüfer Ertekin-Taner

Abstract

Abstract Introduction Alzheimer’s disease (AD) is characterized by pathologies including amyloid, tau, neurodegeneration reflected in established blood biomarkers and track with clinical changes. However, the association between peripheral cell-specific signatures and AD-related phenotypes remain poorly characterized. Methods We analyzed bulk blood transcriptome data from the Mayo Clinic Study of Aging (MCSA) and Emory University Vascular study. We used BayesPrism, CIBERSORTx, and an in-house pipeline CNNreg to deconvolute these data and obtain peripheral cell proportions. Cell type specific transcripts were estimated with BayesPrism. We compared cell proportions between cases (AD/MCI) and controls. Association analysis was performed between cell type specific transcripts and AD-related phenotypes including diagnosis and cognition. Meta-analysis of transcripts associations and gene ontology analysis were conducted to assess the enriched pathways for significant genes. Results In MCSA, B and CD4+ T cells proportions are significantly lower while that of myeloid cells higher in cases. The Emory cohort had similar trends. We identified transcripts associated with AD-related phenotypes in CD4+ T and CD8+ T cells. In CD4+ T cells, transcripts downregulated in case are enriched in response to stimulus pathway, whereas those upregulated in negative regulation of immune response. Downregulation of CD4+ T genes enriched in extracellular matrix disassembly and epigenetic regulation and upregulation of those in protein localization associate with better cognition. In CD8+T cells, genes pertinent to vascular development were downregulated while those to metabolic processes were upregulated in cases. Downregulation of CD8+T genes involved in lipid transportation and upregulation of those in mitochondria associate with better cognition. Conclusion We identified peripheral cellular transcriptional changes associated with AD/MCI phenotypes and involved in important biological pathways, revealing potential disease mechanisms in AD. Funding Source RF1 AG051504 Topic Categories Neuroimmunology (NEUR)

Article Details

Volume / Issue Vol. 215, Issue Supplement_1
Published August 01, 2026
ISSN 0022-1767
Publisher American Association of Immunologists

Authors (14)

X

Xuan Chen

X

Xue Wang

W

Wei Tsai

Mayo Clinic

T

Thuy Nguyen

D

Denise Reyes

V

Val Lowe

R

Ronald Petersen

K

Kejal Kantarci

M

Minerva Carrasquillo

Mayo Clinic

K

Kwangsik Nho

A

Andrew Saykin

Indiana University School of Medicine

J

Joseph Reddy

Mayo Clinic

M

Mariet Allen

N

Nilüfer Ertekin-Taner